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It's great when a quote is taken out of context, and then you look at the context, and it's even worse.
As if 150M Americans have a real choice in private insurance, or that the bureaucracy of the system doesn't already result in rationing and deadly wait times.
As a side note, Project 2025 does something similar with cars. Something to the effect of "Americans overwhelmingly prefer cars" to justify ignoring bikes or public transit projects, again as if there was a real choice being offered.
I think that he's trying to rile up wealthy workers and small business owners who view their (better, but more expensive) private insurance as a luxury good and fear it might be made worse or more expensive if a national Healthcare scheme were implemented. I think it's pretty clear he's also flailing and making mistakes because of it, but we shouldn't overlook that Trump does have a handle on what some slice of Americans interests are, and his stament there isn't totally insane. Shit, it might just be a reflection of his own personal fears, but there's absolutely a real constituency for it.